AMSNY Diversity in Medicine Scholarship Application
Name:
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Email Address
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Mailing Address:
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Permanent Address (if different)
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Phone Number
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Eligibility Criteria
In order to be eligible for the AMSNY Diversity in Medicine Scholarship, you must meet certain criteria as outlined below.
Have you been or are you currently a student in one of the four AMSNY Post-Baccalaureate Programs?
Which program did you attend?
Are you domiciled in New York State?
Please note, the criteria for determining whether an individual is domiciled in New York State are the same as those used for determining SUNY in-state tuition and can be found at https://www.suny.edu/sunypp/documents.cfm?doc_id=402
Are you enrolled in a medical school in New York State for the 2017-2018 academic year?
Medical School:
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Year of Expected Graduation:
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